Organization
FULTON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KONSTANTIN MOYSEYSTEV (OWNER)
(718) 257-1717
Entity
Organization
Contact information
Practice address
1371 ROCKAWAY PKWY, BROOKLYN, NY 11236-2321
(718) 257-1717
Mailing address
1371 ROCKAWAY PKWY, BROOKLYN, NY 11236-2321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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